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Recovering the Lost Roots of Child and Family Therapy

Using Family Therapy's Origins to Fix a Broken Mental Health System

Cloe Madanes

During the height of the family therapy movement, the healing power of the family was respected, and medication and out-of-home placements were considered a last resort. For a variety of reasons, that era has passed, and countertherapeutic economic forces have come to dominate treatment decisions. We need to reexamine our values as a profession and rediscover the activism of the days when the DSM didn’t so thoroughly limit our perspective and clinicians were encouraged to think beyond narrow diagnostic categories and embrace the fuller complexities of human systems.

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Mindfulness Enters American Health and Science

How Jon Kabat-Zinn Started a Mindful Revolution

Mary Sykes Wylie

In 1979, a 35-year-old MIT-trained molecular biologist had a vision of what his life’s work—his “karmic assignment”—would be. He’d bring the ancient Eastern disciplines he’d followed for 13 years—mindfulness meditation and yoga—to chronically sick people right here in modern America. What’s more, he’d bring these practices into the very belly of the Western scientific beast. Not exactly a modest scheme. But Jon Kabat-Zinn, the originator of Mindfulness-Based Stress Reduction (MBSR), would manage to pull it off. Since then, mindfulness has spilled out of the healthcare/psychotherapy world and into the rest of society. But the explosive growth of mindfulness in America has also inevitably triggered a backlash.

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The Slippery Slope

Violating the Ultimate Therapeutic Taboo

Susan Rowan

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Revolution on the Horizon

DBT Challenges the Borderline Diagnosis

Katy Butler, Katy Butler

DBT was no walk in the park: it required team treatment, including weekly individual therapy, a year-long "skills training" class, telephone coaching and supportive supervision for the therapist. But it offered clients and therapists alike a way out of chaos--a systematic clinical package that integrated the technical and analytical strengths of behaviorism, the subtleties of Zen training, the warmth and acceptance of relationship-centered therapies and the often undervalued power of psychoeducation.

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